Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariaelena J. Fagadore, CNP

Individual provider Pediatric Registered Nurse · NPI 1861490138

Mariaelena J. Fagadore, CNP is a Pediatric Registered Nurse in Chicago, Illinois. Licensed in Florida, Illinois and New Mexico. Registered with an NPI since 2005.

Licensed in
FL, IL, NM
In the registry since
2005
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4254 W 55th St
Chicago, IL 60632-4642
Phone: (773) 582-5200
Fax: (773) 582-2772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209-015320 (IL)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence R45506 (NM)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 9244538 (FL)

Record details

NPI number1861490138
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESApril 11, 2017

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